The holder whose full name is FELLABAUM, ANNETTE L,come from FT WAYNE IN,hold the Registered Nurse license(NO.28062376A) which status is Expired.
| Name | FELLABAUM, ANNETTE L |
|---|---|
| License Number | 28062376A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | FT WAYNE |
| State | IN |